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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 01.02.2020 | General Review

Graft choice for isolated MPFL reconstruction: gracilis versus semitendinosus

verfasst von: Filippo Migliorini, Andromahi Trivellas, Arne Driessen, Valentin Quack, Markus Tingart, Jörg Eschweiler

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 5/2020

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Abstract

Introduction

After the first patellar dislocation, most patients report damage of the medio-patellofemoral ligament (MPFL) and surgical reconstruction is required. The purpose of this study is to systematically review current evidence and to clarify the role of the gracilis and semitendinosus tendons as graft for isolated MPFL reconstruction.

Materials and methods

The present systematic review was conducted according to the PRISMA guidelines. The literature search was conducted in October 2019. All clinical trials using the semitendinosus and/or gracilis tendon grafts for isolated MPFL reconstruction in patients with patellofemoral instability were considered for inclusion. Only articles reporting a minimum of 12-month follow-up were considered. The PEDro score was used for the methodological quality assessment.

Results

Data from 1491 procedures were collected. The mean follow-up was 36.12 months. There was comparability among the patient baseline. All the scores of interests (Kujala, Tegner, Lysholm) and range of motion scored better in the semitendinosus group. Moreover, in favour of the semitendinosus group, a statistically significant reduction of the revision surgeries and re-dislocations were evidenced. Apprehension test and persistent instability sensation found any statistical correlations.

Conclusion

Isolated MPFL reconstruction through semitendinosus tendon graft performed better than the gracilis in selected patients suffering from recurrent patellofemoral instability.

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Titel: Graft choice for isolated MPFL reconstruction: gracilis versus semitendinosus
verfasst von: Filippo Migliorini
Andromahi Trivellas
Arne Driessen
Valentin Quack
Markus Tingart
Jörg Eschweiler
Publikationsdatum: 01.02.2020
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 5/2020
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02636-z

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Graft choice for isolated MPFL reconstruction: gracilis versus semitendinosus

Abstract

Introduction

Materials and methods

Results

Conclusion

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Materials and methods

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